Individual
DOMINIC MARCHIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRUCE ST, 8TH FLOOR, PHILADELPHIA, PA 19107-6130
(215) 829-2345
(215) 829-3365
Mailing address
800 SPRUCE ST, 8TH FLOOR, PHILADELPHIA, PA 19107-6130
(215) 829-2345
(215) 829-3365
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD069587L
PA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD069587L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001931557
—
PA
Enumeration date
07/06/2006
Last updated
05/10/2012
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